BJOG : an international journal of obstetrics and gynaecology · 2014
'I don't care whether it's HPV or ABC, I just want to know if I have cancer.' Factors influencing women's emotional responses to undergoing human papillomavirus testing in routine management in cervical screening: a qualitative study.
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O'Connor M, Costello L, Murphy J, Prendiville W, Martin C M, O'Leary J J, Sharp L, Irish Screening Research Consortium (CERVIVA)
Аннотация
OBJECTIVE: To explore emotional responses, and predictors of negative reactions, among women undergoing human papillomavirus (HPV) tests in routine clinical practice.
DESIGN: Exploratory qualitative interview study.
SETTING: A large busy colposcopy clinic in a Dublin hospital.
SAMPLE: Twenty-seven women who had had an HPV DNA test in the previous 6 months following one or more low-grade cytology tests or treatment for cervical intraepithelial neoplasia (CIN).
METHODS: In-depth semi-structured interviews were conducted. Interview transcripts were analysed using a thematic approach (Framework Analysis).
MAIN OUTCOME MEASURES: Women's emotional responses and predictors of negative emotional reactions.
RESULTS: For most women, having a test for high-risk HPV types generated little negative or positive emotional impact. Adverse emotional responses related to HPV infection rather than testing. Factors that influenced whether women experienced negative emotional responses were: concerns over abnormal cytology or diagnosis of CIN; HPV knowledge; awareness of HPV being sexually transmitted; awareness of HPV prevalence; and HPV information needs. Women's concerns about abnormal cytology/CIN dominated all other issues.
CONCLUSIONS: These qualitative data suggest that in the context of follow up of abnormal cytology or treatment for CIN, the emotional impact of HPV testing may be modest: women's primary concerns at this time relate to abnormal cytology/CIN.
DESIGN: Exploratory qualitative interview study.
SETTING: A large busy colposcopy clinic in a Dublin hospital.
SAMPLE: Twenty-seven women who had had an HPV DNA test in the previous 6 months following one or more low-grade cytology tests or treatment for cervical intraepithelial neoplasia (CIN).
METHODS: In-depth semi-structured interviews were conducted. Interview transcripts were analysed using a thematic approach (Framework Analysis).
MAIN OUTCOME MEASURES: Women's emotional responses and predictors of negative emotional reactions.
RESULTS: For most women, having a test for high-risk HPV types generated little negative or positive emotional impact. Adverse emotional responses related to HPV infection rather than testing. Factors that influenced whether women experienced negative emotional responses were: concerns over abnormal cytology or diagnosis of CIN; HPV knowledge; awareness of HPV being sexually transmitted; awareness of HPV prevalence; and HPV information needs. Women's concerns about abnormal cytology/CIN dominated all other issues.
CONCLUSIONS: These qualitative data suggest that in the context of follow up of abnormal cytology or treatment for CIN, the emotional impact of HPV testing may be modest: women's primary concerns at this time relate to abnormal cytology/CIN.
Предметные рубрики MeSH
AdolescentAdultAnxietyColposcopyCounselingEmotionsFemaleFollow-Up StudiesHealth Knowledge, Attitudes, PracticeHumansIrelandMass ScreeningMiddle AgedPapillomaviridaePapillomavirus InfectionsPrecancerous ConditionsPredictive Value of TestsQualitative ResearchSurveys and QuestionnairesUterine Cervical NeoplasmsVaginal SmearsUterine Cervical Dysplasia